Angiography in the Study of Portal Hypertension

  • Kunio Okuda
  • Kenichi Takayasu


Since percutaneous transhepatic catheterization of the portal vein and hepatic vein catheterization for the hemodynamic study have already been covered (Chapters 9 and 10), in this chapter we will focus on the role of various angiographic procedures in the investigation of portal hemodynamics and hepatic pathology. Some of the angiographic procedures may be combined with other imaging diagnosis such as CT and radionuclide scintigraphy to gain better understanding of the vascular anatomy and physiology. They will be discussed briefly.


Portal Vein Portal Hypertension Hepatic Vein Splenic Vein Portal Blood Flow 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Takayasu K, Muramatsu Y, Moriyama N, Ohtsu T, Catapia TC (1988) Plastic-coated guide wire for hepatic arteriography. Radiology 166: 545–546PubMedGoogle Scholar
  2. 2.
    Okuda K, Takayasu K, Iwamoto S (1989) Angiography in the diagnosis of liver disease. Semin Liver Dis 9: 50–62PubMedCrossRefGoogle Scholar
  3. 3.
    Okuda K, Iio M (1976) Radiological aspects of the liver and biliary tract. X-ray and radioisotope diagnosis. Year Book, ChicagoGoogle Scholar
  4. 4.
    Warren WD, Fomon JJ, Viamonte M, Martinez LO, Kaiser M (1968) Spontaneous reversal of portal venous blood flow in cirrhosis. Surg Gynecol Obstet 126: 315–323Google Scholar
  5. 5.
    Okuda K, Moriyama M, Yasumoto M, Jinnouchi S, Shimokawa Y, Nakayama T, Kanda Y, Fukuyama Y, Musha H, Kuratomi S, Nakashima T (1973) Roentgenologic demonstration of spontaneous reversal of portal blood flow in cirrhosis and primary carcinoma of the liver. AJR 119: 419–428CrossRefGoogle Scholar
  6. 6.
    Takayasu K, Takashi M, Musha H, Ohnishi K, Omata M, Kobayashi C, Okuda K (1982) Spontaneous reversal of portal blood flow demonstrated by percutaneous transhepatic catheterization: Report of two cases. Gastroenterology 82: 753–757PubMedGoogle Scholar
  7. 7.
    Okuda K, Musha H, Nakajima Y, Takayasu K, Suzuki Y, Morita M, Yamasaki T (1978) Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture. Gastroenterology 75: 1204–1207Google Scholar
  8. 8.
    Cho KJ, Chuang VP, Reuter SR (1975) Prostaglandin E1 as a pharmacoangiographic agent for arterial portography. Radiology 116: 207–209PubMedGoogle Scholar
  9. 9.
    Ohnishi K, Okuda K, Ohtsuki T, Nakayama T, Hiyama Y, Iwama S, Goto N, Nakajima Y, Musha H, Nakashima T (1984) Formation of hilar collaterals or cavernous transformation after portal vein obstruction by hepatocellular carcinoma. Observations in ten patients. Gastroenterology 87: 1150–1153Google Scholar
  10. 10.
    Okuda K, Ohnishi K, Kumura K, Matsutani S, Sumida M, Goto N, Musha H, Takashi M, Suzuki N, Shinagawa T, Suzuki N, Ohtsuki T, Arakawa M, Nakashima T (1985) Incidence of portal vein thrombosis in liver cirrhosis. An angiographic study in 708 patients. Gastroenterology 89: 279–286PubMedGoogle Scholar
  11. 11.
    Stone HH, Jordan WD, Acker JJ, Martin JD Jr (1965) Portal arteriovenous fistulas. Review and case report. Am J Surg 109: 191–196PubMedGoogle Scholar
  12. 12.
    Burcharth F, Sorensen TIA, Andersen B (1979) Percutaneous transhepatic portography. III. Relationship between portosystemic collaterals and portal pressure in cirrhosis. AJR 133: 1119–1122PubMedCrossRefGoogle Scholar
  13. 13.
    Okuda K, Kimura K, Takayasu K (1982) Percutaneous transhepatic portography and sclerotherapy. Semin Liver Dis 2: 57–66PubMedCrossRefGoogle Scholar
  14. 14.
    Futagawa S, Fukazawa M, Horisawa M, Musha H, Ito T, Sugiura M, Kameda H, Okuda K (1980) Portographic changes in the liver in idiopathic portal hypertension. AJR 134: 319–325CrossRefGoogle Scholar
  15. 15.
    Chiandussi L, Juliani G, Grecco F, Cravero D, Sardi G, Toscano G (1967) Hepatic portography by direct catheterization of the portal vein through the round ligament of the liver (ligamentum teres). AJR Radium Ther Nucl Med 99: 625–629CrossRefGoogle Scholar
  16. 16.
    Wiechel KL, Erwald R, Kulling KG, Lundbergh P, Marions O, Standeil T (1972) Technique for simultaneous catheterization of different parts of the portal vein. Acta Med Scand 191: 137–138PubMedGoogle Scholar
  17. 17.
    Moore GE, Bridenbauch RB (1950) Portal venography. Surgery 28: 827–831PubMedGoogle Scholar
  18. 18.
    Futagawa S, Fukazawa M, Musha H, Isomatsu T, Koyama K, Horisawa M, Nakayama S, Sugiura M, Kameda H, Okuda K (1981) Hepatic venography in noncirrhotic portal hypertension. Comparison with cirrhosis of the liver. Radiology 141: 303–309PubMedGoogle Scholar
  19. 19.
    Greenspan RH, Capps JH, widmann WD, Hales MR (1962) Transhepatic portal venography: A new method of portal vein visualization. Radiology 78: 248–250PubMedGoogle Scholar
  20. 20.
    Moreno AH, Burchell AR, Reddy RV, Panke WF, Nealon TF Jr (1975) The hemodynamics of portal hypertension revisited: Determinants and significance of occluded portal pressure. Surgery 77: 167–179PubMedGoogle Scholar
  21. 21.
    Ohnishi K, Chin N, Saito M, Tanaka H, Terabayashi H, Nakayama T, Iida S, Nomura F, Okuda K (1986) Portographic opacification of hepatic veins and (anomalous) anastomoses between the portal and hepatic veins in cirrhosis—indication of extensive intrahepatic shunts. Am J Gastroenterol 81: 975–978PubMedGoogle Scholar
  22. 22.
    Takayasu K, Moriyama N, Shima Y, Muramatsu Y, Goto H, Yamada T, Makuuchi M, Yamasaki S, Okazaki N (1984) Spontaneous portal-hepatic venous shunt via an intrahepatic portal vein aneurysm. Gastroenterology 86: 945–948PubMedGoogle Scholar
  23. 23.
    Okuda K, Suzuki K, Musha H, Arimizu N (1977) Percutaneous transhepatic catheterization of the portal vein for the study of portal hemodynamics and shunts. Gastroenterology 73: 279–284PubMedGoogle Scholar
  24. 24.
    Ueda H, Kitani K, Kameda H, Yamada H, Iio M (1967) Detection of hepatic shunts by the use of 131I-macroaggregated albumin. Gastroenterology 52: 480–487PubMedGoogle Scholar
  25. 25.
    Takayasu K, Moriyama N, Muramatsu Y, Tajiri H (1989) Transient perihilar attenuation difference in the liver on dynamic CT. Gastroenterol Jpn 24: 205–208PubMedGoogle Scholar
  26. 26.
    Sundgren R (1970) Selective angiography of the left gastric artery. Acta Radiol 299 (Suppl): 1–100Google Scholar
  27. 27.
    Reuter SR, Redman HC, Miller WJ, Hoskins PA (1970) Gastric angiography. Radiology 94: 271–276PubMedGoogle Scholar
  28. 28.
    Reuter SR, Atkin TW (1972) High-does left gastric angiography for demonstration of esophageal varices. Radiology 105: 573–578PubMedGoogle Scholar
  29. 29.
    Moreno AH, Ruzicka FF, Rousselot LM, Burchell AR, Bono RF, Slafsky SF, Burke JH (1963) Functional hepatography. Radiology 81: 65–79Google Scholar

Copyright information

© Springer Japan 1991

Authors and Affiliations

  • Kunio Okuda
    • 1
  • Kenichi Takayasu
    • 2
  1. 1.Department of MedicineChiba University HospitalChiba, 280Japan
  2. 2.Department of Diagnostic RadiologyNational Cancer Center HospitalTokyo 104Japan

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